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Contact Information

GASTON DA COSTA, MD
740 S LIMESTONE STE B101
LEXINGTON, KY40536-8947
 Phone: 859-323-5661
 Fax: 859-323-6411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for GASTON DA COSTA · (Male)

NPI Number 1902011158
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2007
Last updated 11/06/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036146545
  • IN License # 01063806A
  • IN License # 11010836A
  • KY License # 59121
  • PA License # MD463417
  • IN Medicaid 200860440
  • IN Other P00787953 RAILROAD MEDICARE PTAN
Hospital affiliation(s)
  • HENDRICKS REGIONAL HEALTH - (Acute Care)
    1000 E MAIN ST
    DANVILLE, IN 46122
  • MEMORIAL HOSPITAL CENTRAL - (Acute Care)
    1400 E BOULDER ST
    COLORADO SPRINGS, CO 80909
  • PINNACLE HEALTH HOSPITALS - (Acute Care)
    409 SOUTH SECOND STREET
    HARRISBURG, PA 17105
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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